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Deric Fitzgerald
Student in an Organized Health Care Education/Training Program in Cerritos, California
NPI 1629403084

Deric Fitzgerald is a Student in an Organized Health Care Education/Training Program based in Cerritos, CA. Deric Fitzgerald practices in Cerritos, CA. The NPI Number for Deric Fitzgerald is 1629403084 and holds a License No. (California).

The current practice location address for Deric Fitzgerald is 10929 South St, Cerritos, CA and can be reached out via phone at 562-924-5526 and via fax at 562-924-1040.

Location: 10929 South St, Cerritos, CA, 90703-5340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629403084
Provider Name
Deric Fitzgerald
Credential
Provider Entity Type
Individual
Gender
Male
Address
10929 South St, Cerritos, CA, 90703-5340
Phone Number
562-924-5526
Fax Number
562-924-1040
Provider Enumeration Date
09/04/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10929 South St
City
Cerritos
State
California
Zip
90703-5340
Phone Number
562-924-5526
Fax Number
562-924-1040
person
Provider Business Mailing Address Details
Address
10929 South St
City
Cerritos
State
California
Zip
90703-5340
Phone Number
562-924-5526
Fax Number
562-924-1040
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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